Individual provider Active NPI

Dorothy F Diaz, FNP-C

  • Family Nurse Practitioner
  • Normandy Park, WA
National Provider Identifier
1497130298
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61672650 Issued in WA
Practice address
20858 2ND PL SW
Normandy Park, WA 98166-4226
Phone
(210) 849-2448
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61672650 WA Primary

Addresses

Primary practice location

20858 2ND PL SW
Normandy Park, WA 98166-4226

Mailing address

20858 2ND PL SW
Normandy Park, WA 98166-4226
Phone (210) 849-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010000611 WA Practitioner - Nurse Practitioner 2365703014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
Wa Pacs 2 PCGroup PAC ID 6901156538, 26 clinicians
CS Pacs 3 Northwest LLCGroup PAC ID 8729526496, 26 clinicians

Practice addresses (Care Compare)

135 S 336TH St
Federal Way, WA 98003-6350
Phone (253) 835-7453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61672650WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Pac Services PC CurrentSince Oct 20, 2025 Accepting new patients
Wa Pacs 2 PC CurrentSince Oct 20, 2025 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Oct 20, 2025 Accepting new patients

Locations

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1497130298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20858 2ND PL SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981664226",
            "telephone_number": "210-849-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20858 2ND PL SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981664226",
            "telephone_number": "210-849-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DOROTHY",
        "middle_name": "F",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61672650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

Verify at the official NPI Registry.